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� e���aaoozo City of Zephyrhilfs Permit Applic�ttion F����� <br /> auud�ne neaartr�r<< <br /> Date Roeaivad Phoe�o Contact Tor <br /> o�rs N�„m C�.�I,�S O Lv't�1�1 o�rw�N�,t�. d�S-�P-I�-�'S2le <br /> O�mara addmas �y 3a Pi c�1 �\��S �Ve Orriwr(�ono Nmrtb�r � <br /> � Feo Simple Tiffioholder Namo O�er Phona Pha►�bar <br /> � Fee 3lmple Titlehclder Addross . <br /> ; JOBADDRESS LOTM � <br /> � <br /> SUSDIVISlOk PARCEL ID�k <br /> (oeG117m FKOY r�lRM0110E� <br /> WORK Pi20POSED e NEW CDNSTR e ADDlALT Q SIGN Q ' - -Q DEMOI�SH ' <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMAA � OTNER <br /> TYPE OF COI�+.STRUCTIQN Q BLOCK Q FRAME Q STEEI Q <br /> oesc�anorao�wowc �L �hC�S> Q �� S-e-�-r' a•`J n �e�-��wv� SP���- <br /> � sui�d�s� so Foornc�� wet�Hr � <br /> QBUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROC�YiESS E!+lERGY Q W.RE.C. <br /> _ :�. <br /> QPLUNtBING $ `/,b�� _ - <br /> MECFWNICAL S VALUATION OF 6dECNANfCALlNSTAlLAT10N � <br /> QGAS Q ROOFIPIG Q SPECIALTY Q OTHER <br /> FINISHED FLQOR ELEVATIONS FldOD 20NE ARF�1 QYES P10 ", <br /> - - - - - -`L-�' ' - <br /> BUILDER COMPW�Y � <br /> SICildATURE Ftc-cis'rf�o Y!N ��. Y/.N <br /> a�ar� uo�s � - - - <br /> ELECTRiCIAN COMPANY •- . .. <br /> SIGNATllRE aEc�sr� /N Fff eu�n Y l N - - ' <br /> Addro� ��� - <br /> PLUMBLR C�P� <br /> SIGNATURE �c�s�x� � �at�Aa� Y/fd' - <br /> AddrBss ���0� - <br /> nnecwaN�c�u. � ' cam�r�v 1 '' Ch `a�r � 'F��-1ra.-4i 6`�l,L1. � <br /> SlGtdATURE I i aEctsre� !JN �cusa�a Y/AI'. <br /> aaa�� 3�Qo s-�a�e R 5 u�os C1 l ' , <br /> OTHER CO�lPAKN � � � <br /> SIGNATURE Re�iarQtID V I N F�c�r+ Y/N� . <br /> Addresa �i - <br /> IIIIIIIIAIA � io � � ooi � ei � ao � � e � aoe � eo � etea � � � e � � t � � �i.� � � t � � � � � � � � � � o � <br /> RESlDEN77AL Atterh(2)Plot Plans;(2)sats of Bw'Iding Pisns;(1)set of Eneryy Fortns;R-4W PectNtforrmt+rcot�sttu�lon. <br /> PAinimum tan(1 D)v�ldng days after suhmiita!date. ReqWted ortsi�,Ca�Plartsr S�ter Ptan.s w�Si�F�i�ed� <br /> Sanitary Faalitles&4 dumpster,Sife Wo�ic PertnR for subdMsionsRatgs projeps - <br /> Cd'a1MERGAL Attach(2)complete sets ef BuUdinp Plans QWs a Life SafeiY Pepe:f t)set aP Hne�9Sr FOrms:R-O-IN Pemtii&�new odtsbtt�f. .. <br /> Minimum len(10}worldng days eRer si�mitta!dste. Re4u:red cnsito.QonSttt�oa Pt�ts,�o�u�t PIanS 1W�t FOrt��.' <br /> Sanitary FadGties&1 dumpster.Sito Wark Pemii for ffiI new pra}ects.Atl comrt�tdal�rieirts fiwst m�t� - <br /> SIGN PERMIT Attach(2)sds of Engineered Ptans. � <br /> ""PROPERTY SURVEY required tor all NEVII constnrdton <br /> Dlroctlons: � <br /> FIII out apptication completey. � <br /> Owner 8 Contracior sign beck M appUcation,noto�ed ' , ' <br /> It over S25o0,a Notlw of Comrrwocement Is requUad. (A!C upgradea over 5T8Q0) - , - <br /> �' Agent(for the contrador)or Pawer of Attomey(for tfie ow��viauld ba somecne u�lf notErized letffir trt�m�BUtliOi�sRtrre . <br /> j OVER 7HE COUNTER PERIAI7TING (copy of wnfrad rea�red) <br /> I Reroofs if shingSe.s Sewers Sen+ice Upgrades A/C Fences(PloUSurvey/Footega) <br /> Drivewayallot over Counter ii on pubfic ioodwmys..r�eeds ROW <br /> I <br /> � <br />